【正文】 tion 主要適應癥 On wounds that produce high amount of exudate (pressure,leg ulcer,etc.) 傷口(shāngkǒu)產(chǎn)生大量滲出液（壓迫性潰瘍、腿部潰瘍等） Contra indication 禁忌癥 On dry wounds risk that pad sticks to the wound (can harm new ganulated tissue) 干性傷口具有墊料粘附傷口的風險（可損害新生肉芽組織）,第七十五頁，共九十五頁。,Wound dressings—Non woven (aborbent) pads with super absorber 傷口敷料 —具有強力(qi225。nɡ l236。)吸收劑的無紡布（吸收墊料）,Handing 操作 Products must not be cut 不能對產(chǎn)品進行裁剪 Products should not be folded together產(chǎn)品不應疊放在一起 Can stay on wound for several days (depends on amount of exudate) 可以在傷口上保留數(shù)日 Fixation 固定 Fixation depends on wound location and skin condition 依據(jù)傷口位置(w232。i zhi)和皮膚狀況進行固定,第七十六頁，共九十五頁。,Wound dressings—Non woven (aborbent) pads with super absorber 傷口敷料(fūli224。o) —具有強力吸收劑的無紡布（吸收墊料）,Description 說明 Widely variety available應用廣泛 Made of several layers 由數(shù)層構(gòu)成 Can contain additional materials like an absorption pad 可以包含附加材料，如吸收墊料 Binds smell限制異味 When in directed contact with wound it binds protein molecules and bacteria 在直接接觸傷口時可以與蛋白質(zhì)分子以及細菌相結(jié)合 Predominate use in following phases of wound healing 主要應用于傷口愈合的以下階段 Cleansing :on infected ,badly smelling wounds 清潔：用于感染傷口、具有(j249。yǒu)嚴重異味的傷口,第七十七頁，共九十五頁。,Wound dressings—Active coal dressings 傷口(shāngkǒu)敷料—活性碳敷料,Handing 操作(cāozu242。) Dressing should be about an inch bigger than wound 敷料應當大于傷口1英寸 Pads should be easily placed in wound 墊料應當容易放入傷口內(nèi) Dressings must not be cut 不能對敷料進行剪裁,第七十八頁，共九十五頁。,Wound dressings—Active coal dressings 傷口(shāngkǒu)敷料—活性碳敷料,Description 說明 Semi permeable, polyurethane film 半透明、聚氨酯甲酸酯薄膜 Wound protection, fixation material傷口(shāngkǒu)保護型固定材料 Barrier to bacteria阻擋細菌 Enables monitoring of wound 能都進行傷口監(jiān)護 Na absorption capacity無吸收能力 Atraumatic dressing change 非創(chuàng)傷性換藥 Predominate use in following phases of wound healing 主要應用于傷口愈合的以下階段 Epithelialisation: as primary wound dressing 上皮形成階段：作為主要的傷口敷料 Fixation of other dressing in all phases of wound healing 在傷口愈合階段固定其他敷料,第七十九頁，共九十五頁。,Wound dressings—Active coal dressings 傷口(shāngkǒu)敷料—活性碳敷料,Main indication 主要適應癥 On dry, primary healing wounds 用于干性、初步愈合傷口 On wounds in epithelislisation phase 用于上皮形成階段 On skin donor sites用于皮膚供體部位 Wound protection (e.g. when showering )保護傷口（例如，在淋浴洗澡時） Contra indication 禁忌癥 Necrotic wounds 壞死傷口 Undermined,deep wounds潛行性深部傷口 Infected wounds感染(gǎnrǎn)傷口 Bleeding or highly exudating wounds出血或高度滲出性傷口,第八十頁，共九十五頁。,Wound dressings—Transparent film dressings 傷口敷料(fūli224。o)—透明薄膜敷料,Handing 操作(cāozu242。) Material can be optimal size材料可被剪裁成最佳尺寸 Atraumatic dressing change through非創(chuàng)傷性換藥 Overstretching of film 薄膜過度拉伸 Fixation 固定 No additional fixation required 不需要額外固定 Used as fixation for other wound dressings 作為其他敷料的固定物使用,第八十一頁，共九十五頁。,Wound dressings—Hyaluronan wound treatment 傷口(shāngkǒu)敷料—透明質(zhì)酸型傷口護理材料,Description 說明 Available in different forms(e.g.granulate ,spray)可采用不同形式（例如，顆粒劑、噴霧劑） Hyaluronan is a polymer existing in connective tissue 透明質(zhì)酸是一種存在于結(jié)締組織中的聚合物 Wound material charged with hyaluronan(e.g.alginates) 傷口材料與透明質(zhì)酸一起更換（如，藻酸鹽） Hyaluronan supports the synthesis of collagen and cell function 透明質(zhì)酸有助于膠原合成以及細胞功能 Hyaluronan turns into transparent gel when in contact with wound exudate 當與傷口滲出物接觸時透明質(zhì)酸可轉(zhuǎn)變?yōu)橥该鞯哪z體 Absorbs wound exudate吸收傷口滲出液 Predominate use in following phases of wound healing 主要應用于傷口愈合的以下階段 In all phases depending on carrier material依據(jù)載體(z224。itǐ)材料用于傷口愈合所有階段,第八十二頁，共九十五頁。,Wound dressings—Hyaluronan wound treatment 傷口敷料(fūli224。o)—透明質(zhì)酸型傷口護理材料,Main indication 主要適應癥 Acute wounds producing high amount of exudate 產(chǎn)生大量滲出液的急性傷口(shāngkǒu) Deep ,undermined wounds 潛行的深部傷口 Skin donor sites皮膚供體部位 Chronic ,difficult healing wounds 慢性難愈合性傷口 Contra indication 禁忌癥 Clinic infected wounds臨床感染性傷口 Dry necrosis干性壞死 Combination with antiseptics 與消毒劑聯(lián)合使用 Sensitivity to components對成分過敏,第八十三頁，共九十五頁。,Wound dressings—Hyaluronan wound treatment 傷口敷料(fūli224。o)—透明質(zhì)酸型傷口護理材料,Handing 操作 Rinsing the wound when changing the dressing 更換敷料時沖洗(chōngxǐ)傷口（顆粒型） Make sure it’s wet enough 確保敷料足夠濕潤 Can stay up to 3days on wound 可以在傷口上保留長達3天 Fixation 固定 Cover ,secondary fixation needed 必須進行覆蓋和次級固定,第八十四頁，共九十五頁。,Wound dressings—Hydro capillary dressings 傷口(shāngkǒu)敷料—毛細管吸水型敷料,Description 說明 Wound pad on the basis of cellulose with super absorber (polyacrylate) 傷口墊采用纖維素和超強吸水劑（聚丙烯酸酯）為基礎(chǔ) High absorption capacity吸收能力高 Support of granulation有助于肉芽形成 Protection against external effects 保護傷口防止外部影響 Available with and without adhesive borders 可采用有或無粘性邊緣的敷料 Predominate use in following phases of wound healing 主要(zhǔy224。o)應用于傷口愈合的以下階段 Cleanign 清潔 Ganulation 肉芽形成,第八十五頁，共九十五頁。,Wound dressings—Hydro capillary dressings 傷口(shāngkǒu)敷料—毛細管吸水型敷料,Main indication 主要適應癥 Can be used with compression therapy可與加壓療法一同運用 Wounds producing medium to high amount of exudate 傷口產(chǎn)生中等(zhōngděng)到大量的滲出液 On wounds with problematic surrounding skin傷口周圍存在的問題性皮膚 Slushy ,fibrin coated wounds 膠凍樣纖維蛋白覆蓋性傷口 Contra indication 禁忌癥 Dry wounds 干性傷口 Third –or forthdegree burns3度或4度燒傷 Osteomyelitis 骨髓炎 Not in combination with hydro gel on dry necrosis對于干性壞死不能與水凝膠合用,第八十六頁，共九十五頁。,Wound dressings—Hydro capillary dressings 傷口(shāngkǒu)敷料—毛細管吸水型敷料,Handing 操作 Surrounding skin must be free of hair周圍皮膚必須沒有毛發(fā) Dressing should be about an inch bigger than wound 敷料應當大于傷口(shāngkǒu)約1英寸 Use additional primary material on deep wounds, wounds with a lot fibrin or moist necrotic wounds 深部傷口、含纖維蛋白傷口或濕性壞死傷口額外使用初級材料 Can stay up to 7 days on wound在傷口上保留長達7天 Fixation 固定 No cover required不需要覆蓋物 Additional fixation possible with semi permeable film or non woven adhesive 可以采用半透膜或非編織型膠帶進行額外固定,第八十七頁，共九十五頁。,Wound dressings—collagen wound dressings 傷口(shāngkǒu)敷料—膠原型傷口敷料,Description 說明 Pure collagen is available as powder or sheets采用顆粒狀或片狀純化膠原 Used on difficult to reach wounds用于難以抵達的傷口 In combination with Ringer solution or Saline it turns to gel 與林格氏液或生理鹽水聯(lián)合應用，這種敷料可以轉(zhuǎn)變?yōu)槟z狀 Sheets have a high absorption capacity,hemostatic etc.片狀敷料具有高度吸水性，可以止血 Binds excess protease, radicals etc.結(jié)合過多的蛋白酶、基團等 Is resorbed within 3 days在3天內(nèi)可以被機體(jītǐ)重吸收 Predominate use in following phases of wound healing 主要應用于傷口愈合的以下階段 Granulation 肉芽形成 Epithelialisation 上皮形成,第八十八頁，共九十五頁。,Wound dressings—collagen wound dressings 傷口(s